MedPath

TREg Activation in the Treatment of the PELADE (Alopecia Areata)

Phase 3
Completed
Conditions
Alopecia Areata
Interventions
Drug: placebo
Registration Number
NCT02557074
Lead Sponsor
Centre Hospitalier Universitaire de Nice
Brief Summary

In a prospective pilot study the investigators showed that low doses of IL2 could be beneficial for severe AA inducing a long lasting regrowth in 4 out of the 5 patients treated.

The objective of this study is to compare the long term efficacy of low doses of IL2 versus placebo in a multicenter prospective randomized double blind study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Of more than 18 years old,
  • Affiliated to the social security system,
  • Clinical diagnosis of alopecia areata,
  • 50 % of the surface of the scalp affected
  • Last flaire started less than one year
  • Alopecia areata resisting to at least 1 systematic treatment including phototherapy (UVB or PUVA), general corticosteroid therapy or methotrexate
  • Signature of the informed consent
Exclusion Criteria
  • Pregnancy or refusal of contraception at the women old enough to procreate,
  • Refusal of contraception at the men
  • Local treatment (dermocortico茂des, minoxidil) or systematism (oral corticosteroid therapy, m茅thotrexate or the other immunosuppresseur) since less than 2 less,
  • Evolutionary autoimmune cancer or disease or in forgiveness
  • Excessive grip(taking) of alcohol (upper to 3 glasses of wine a day or one pre-lunch drink a day)
  • Seropositivity VHC, VHB, or HIV
  • Patient presenting a severe renal and/or hepatic insufficiency,
  • Presenting patient one zoned, the chicken pox, the herpes, the tuberculosis, an evolutionary infectious disease, a respiratory failure ...
  • Vulnerable person (nobody under guardianship minor(miner), adults, deprived of freedom)
  • IC in the treatment(processing) by IL-2R
  • Presenting a contraindication to ProleukinR

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo - Group BplaceboNaCl 9% serum (placebo) NaCl 9% serum SC from day 1 to day 5 for the four courses of treatment
IL2 - Group AIL2Patient will received IL2 low doses (1.5 to 3MUI/d) - * IL2 1.5MUI/d SC from day 1 to day 5 for the first course of treatment * IL2 3MUI/d SC from day 1 to day 5 for the 3 following courses
Primary Outcome Measures
NameTimeMethod
Score SaltOnce : at 12 months post-treatment

Success defined by a SALT score lower or equal to 25 at the end the study (12 months post-treatment). It will be calculated by 2 physicians blinded to the treatment received on standardized pictures.

Secondary Outcome Measures
NameTimeMethod
Quality of lifeat one day, 22 days, 43 days, 64 days, 251 days, 434 days

The quality of life (QdV) will be estimated with the scale DLQI which is a scale of QdV validated for the dermatological diseases.

Adverse Eventat one day, 22 days, 43 days, 64 days, 251 days, 434 days

The tolerance will be clinically and biologically estimated at each visit. The type and the rank of every AE will be raised.

Satisfaction of patientat 12 months post-treatment

The satisfaction of the patients will be estimated on an analog visual scale(ladder) going of 0 (not satisfied) to 10 (very satisfied).

Trial Locations

Locations (6)

AP-HM - La timone - Dermatologie

馃嚝馃嚪

Marseille, Bouche Du Rh么ne, France

CHU de Nimes - Dermatologie

馃嚝馃嚪

N卯mes, Languedoc-Roussillon, France

CHI St Raphael Fr茅jus - Dermatologie

馃嚝馃嚪

Fr茅jus, Paca, France

CHU Montpellier - Dermatologie

馃嚝馃嚪

Montpellier, France

CHU de Nice - dermatologie

馃嚝馃嚪

Nice, France

AP-HP St Louis - Dermatologie

馃嚝馃嚪

Paris, Ile De France, France

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